Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2015 , Vol 24 , Issue 2
Ultrason Eşliğinde Derin Servikal Pleksus Blokajıyla Yapılan Karotis Endarterektomi: Erken ve Orta Dönem Sonuçlarımız
Orhan FINDIK1, Çağrı DÜZYOL1, Özgür BARIŞ1, Hakan PARLAR1, Ufuk AYDIN2, Mehmet YILMAZ3, Atike TEKELİ KUNT1, Cevdet Uğur KOÇOĞULLARI4
1Kalp ve Damar Cerrahisi Kliniği, Kocaeli Derince Eğitim ve Araştırma Hastanesi, Kocaeli,
2Kalp ve Damar Cerrahisi Kliniği, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Bursa
3Anesteziyoloji ve Reanimasyon Kliniği, Kocaeli Derince Eğitim ve Araştırma Hastanesi, Kocaeli
4Kalp ve Damar Cerrahisi Kliniği, Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbul
DOI : 10.9739/uvcd.2015-45152 Objective: Carotid artery stenosis is one of the main reasons of stroke. In this study, early and mid-term results of our carotid endarterectomy operations, which were performed with ultrasound-guided regional anesthesia, were evaluated. Material and Methods: A total of, 32 patients who were diagnosed with carotid artery stenosis with Doppler ultrasonography or magnetic resonance angiography in our clinic between February 2011 and July 2013 were included in the study. All patients had ASA2-3 scores. Superficial and deep cervical blocks were made under ultrasonography guidance. Ten milliliters of local anesthetic agent was given subcutaneously. Ten milliliters of 1% prilocaine was injected subcutaneously for superficial cervical block. Topical anesthetic solution was injected over the carotid bifurcation. Carotid endarterectomy was performed by either shunt or clamping. Arteriotomy closure was either made primarily, or with saphenous vein patch. Postoperative control was made with Doppler ultrasonography at 3rd-6th-12nd months. Results: Average clamping time was 16.8±2.9 min, operation time was 45±11 min, intensive care unit and hospital stays were 1.3 and 4.8 days, respectively. In early postoperative period, hoarseness, cough, facial paralysis, hematoma and difficulty of swallowing were seen. All of them resolved before the time of discharge. One patient was discharged with hemiparesis. Conclusion: Ultrasound-guided deep cervical block is an effective and safe method. Easy application of this procedure, extra anesthetic efficiency of deep cervical block, and few cardiac and neurologic complications are important advantages of this method. Keywords : Carotid endarterectomy; guidance of ultrasonography; deep cervical block
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